All therapiesEvidence snapshot 2026-09-13
Weight & glucose

Mazdutide

Activates both GLP-1 and glucagon receptors.

At a glance

Selected evidence in this atlas
Studied use & population

Chinese adults with overweight or obesity without diabetes

Study context
Approval & development

4/6 mg approved for weight management in China; 9 mg supplemental application under review in latest located announcement.

Status sourceStatus & indications
Selected efficacy evidence

14.01% reported weight loss · 0.3% gain with placebo · 48 weeks

GLORY-1 · Phase 3 · peer-reviewed · 6 mg once weekly · Regardless of stopping treatment

Evidence & limitations
Important safety context

Most reported adverse events were mild or moderate gastrointestinal events.

Safety context
Next milestone

A next milestone is not summarized for this therapy.

Milestone details

Study results apply to their own population, dose and analysis. They do not establish a ranking between therapies.

Evidence in the atlas

3 results

Each result belongs to its own study population, dose and analysis. Open a result for its chart, comparator, safety findings and limitations.

Weight loss

GLORY-1

14.01% reported weight loss · 0.3% gain with placebo · 48 weeks

6 mg once weekly

Chinese adults with overweight or obesity without diabetes

Includes early discontinuation and new obesity therapies. 4/6 mg approved for weight management in China; 9 mg supplemental application under review in latest located announcement.

Safety context

Most reported adverse events were mild or moderate gastrointestinal events.

Limitations: China-only trial; placebo gained 0.30%.

Weight loss

GLORY-2 non-T2D subgroup

19.6% reported weight loss · 2.79% loss with placebo · 60 weeks

9 mg once weekly

Prespecified subgroup without T2D; Chinese adults with BMI >=30; 257 active and 130 placebo

Includes early discontinuation and new obesity therapies. 4/6 mg approved for weight management in China; 9 mg supplemental application under review in latest located announcement.

Safety context

Overall trial: vomiting 53.1%, nausea 46.9%, diarrhea 39.4%; 2.9% stopped drug for adverse events.

Limitations: Subgroup from mixed diabetes trial, not full trial population. Published treatment-policy estimate replaces sponsor 20.08% headline.

Glucose control

DREAMS-2

1.66 percentage-point HbA1c decrease · 1.36 pp decrease with Dulaglutide 1.5 mg weekly · 28 weeks

6 mg weekly

Chinese adults with type 2 diabetes inadequately controlled with oral antidiabetic therapy

Modified ITT treatment-policy analysis; includes data after discontinuation and rescue therapy.

Safety context

Diarrhea, nausea and vomiting were common; GI events were more frequent than with dulaglutide.

Limitations: Dulaglutide arm open-label; mazdutide dose groups blinded. Trial-wide baseline. Registry title mentions TZD, whereas the published analysis plan specifies SGLT2 inhibitor or sulfonylurea.

Biology & identity

Status in this atlas: 4/6 mg approved for weight management in China; 9 mg supplemental application under review in latest located announcement. Status source

Hormone activity

Activates both GLP-1 and glucagon receptors.

Xinermei (信尔美)
Chinese injectable brand; first approved for adult chronic weight management. A separate type 2 diabetes indication was subsequently approved. This is not a US approval. · injection

Innovent Biologics · China development and commercialization licensee; licensed mazdutide from Lilly in 2019.; Eli Lilly and Company · Originator and licensor to Innovent for China development and commercialization.

Uses, doses and availability depend on the formulation, indication and country. Study doses below describe research; they are not prescribing instructions.

The molecule

Activates both GLP-1 and glucagon receptors.
Structure not yet verified

Structure not verified

Activates both GLP-1 and glucagon receptors.

Shown: Peptide drug

A named PubChem record was found, but the complete peptide modifications and stereochemistry were not independently reconciled during this review; no exact-drug image is presented.

Mazdutide

Development timeline

Next milestone

A next milestone is not summarized for this therapy. This does not mean development has ended.

Development history3 selected milestones

Mazdutide · compound history across indications

Selected milestones only. Earlier studies may be missing; the first listed date should not be interpreted as the start of development.

  1. First Chinese weight-management approval

    The approved Chinese prescribing information dates initial approval to June 24, 2025; Innovent publicly announced it on June 27.

    Source
  2. Chinese diabetes approval announced

    Innovent announced NMPA approval for glycemic control in adults with type 2 diabetes.

    Source
  3. GLORY-2 published

    JAMA published the 9 mg phase 3 trial, including a separately reported subgroup without diabetes.

    Source

Selected sources checked Sep 13, 2026. This is not an exhaustive history.